Denial: What Is It, How Do We Recognize It, and What Should We Do About It?

@article{Travis2011DenialWI,  title={Denial: What Is It, How Do We Recognize It, and What Should We Do About It?},  author={Anne C. Travis and Swati Pawa and Julia Kim Leblanc and Arvey I. Rogers},  journal={The American Journal of Gastroenterology},  year={2011},  volume={106},  pages={1028-1030},  url={https://api.semanticscholar.org/CorpusID:37719358}}
It is important for physicians to realize that these coping strategies are adaptive and should not be viewed negatively and there are times when denial is an adaptive coping strategy that needs to be respected and not stigmatized.

6 Citations

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32 References

Denial in the medical interview.

Physician denial interacts with patient denial to undermine the correct diagnosis and best treatment of patients' problems and Physicians must learn to recognize their own sources of denial and adjust for them.

Denial in the medical interview.

A fine analysis of the phenomenon of denial is presented and recommendations that there are times when to let the patient stay in denial and other times when they might use techniques of clarification, confrontation, and interpretation are appreciated.

Denial. Are sharper definitions needed?

Three patients, while understandably anxious and apprehensive, were not considered to be neurotic or psychotic and the basic facts in each case indicate that the term denial may have been misapplied.

The management of denial in cancer patients.

Although there are no hard and fast guidelines for the psychological management of patients who use denial, four possible management scenarios are provided.

Depression and denial in psychotherapy of persons with disabilities.

Countertransference reactions are of prime importance and may differ from more typical reactions by virtue of the enormity of the patient's losses and their tendency to evoke the psychotherapist's own sense of vulnerability, mortality, and humanity.

Denial and affirmation in illness and health.

The author presents a four-cell paradigm of illness, health, denial, and affirmation, which is illustrated with examples of common problems in medical care.

Denial in terminal illness: to intervene or not to intervene.

Data indicate that, in the absence of psychological dysfunction, patients using interpersonal denial may respond favorably to sensitive psychosocial intervention, and still others may benefit only after they have had sufficient time to muster adaptive coping strategies.

Using Coping Strategies Is Not Denial: Helping Loved Ones Adjust to Living with a Patient with a Palliative Diagnosis

The main findings showed that the strategies used by loved ones could be categorized into four different areas: thinking that the death is far off in the future; hoping for an improvement; living in the present; and utilizing the family and personal network.

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